Provider Demographics
NPI:1194253278
Name:SHAUL, SETH ADAM
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:ADAM
Last Name:SHAUL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1641 SPENCER DR
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35405-6326
Mailing Address - Country:US
Mailing Address - Phone:205-242-6702
Mailing Address - Fax:
Practice Address - Street 1:1641 SPENCER DR
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35405-6326
Practice Address - Country:US
Practice Address - Phone:205-242-6702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care